<div class="box">
        <!-- box / title -->
        <div class="title">
                <h5>Pencarian Produk</h5>
        </div>
        <!-- end box / title -->
        <center>
            <form id="form" action="<?=$_SERVER[ 'PHP_SELF' ]?>" method="post">           
                <label>Parameter : </label><input type="text" name="param" id="param"  /> 
                <input type="submit" value="Submit" />
                <input type="reset" value="Reset" /><br /> <br />             
            </form>
            <table >
                <tr><td><label>iccid</label></td><td> : </td><td><input type="text" name="iccid" id="iccid" readonly="readonly" style="background-color:LightGray " value="<?=$data['iccid']?>"  /> </td>  </tr>
                <tr><td><label>mdn</label></td><td> : </td><td><input type="text" name="mdn" id="mdn" readonly="readonly" style="background-color:LightGray " value="<?=$data['mdn']?>"    />   </td>  </tr> 
                <tr><td><label>Kategori Barang</label></td><td> : </td><td><input type="text" name="item_group_name" id="item_group_name" readonly="readonly" style="background-color:LightGray " value="<?=$data['item_group_name']?>"    /> </td>  </tr> 
                <tr><td><label>Nama Barang</label></td><td> : </td><td><input type="text" name="item_name" id="item_name" readonly="readonly" style="background-color:LightGray " value="<?=$data['item_name']?>"    />  </td>  </tr>
                <tr><td><label>Nama Distributor</label></td><td> : </td><td><input type="text" name="distributor_name" id="distributor_name" readonly="readonly" style="background-color:LightGray " value="<?=$data['distributor_name']?>"    />  </td>  </tr>
                <tr><td><label>Region</label></td><td> : </td><td><input type="text" name="region" id="region" readonly="readonly" style="background-color:LightGray " value="<?=$data['region']?>"    />  </td>  </tr>
                <tr><td><label>Cluster</label></td><td> : </td><td><input type="text" name="cluster" id="cluster" readonly="readonly" style="background-color:LightGray " value="<?=$data['cluster']?>"    />   </td>  </tr>
            </table>   
        </center> 
            	
        
</div>